'''Sensory integration''' is defined as the [[neurology|neurological process]] that organizes sensation from one's own body and the environment, thus making it possible to use the body effectively within the environment.

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'''Sensory Integration''' is defined as the neurological process that organizes sensation from one’s own body and the environment, thus making it possible to use the body effectively within the environment. Specifically, it deals with how the brain processes multiple sensory modality inputs into usable functional outputs. It has been believed for some time that inputs from different sensory organs are processed in different areas in the brain. The communication within and among these specialized areas of the brain is known as functional integration<ref>{{cite journal | author = Macaluso E, Driver J. | title = Multisensory spatial interactions: a window onto functional integration in the human brain. | journal = Trends in Neurosciences | volume = 28 | pages = 263-271 | year = 2005}}</ref><ref>{{cite journal | author = Todman D. | title = Wilder Penfield (1891-1976) | journal = Journal of Neurology | volume = 255 | pages = 1104-1105 | year = 2008}}</ref><ref>{{cite journal | author = Harrison BJ, Pujol J, Lopez-Sola M, Hernandez-Ribas R, Deus J, et al.| title = Consistency and functional specialization in the default mode brain network | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 105 | pages = 9781-9786 | year = 2008}}</ref>. Newer research has shown that these different regions of the brain may not be solely responsible for only one sensory modality, but could use multiple inputs to perceive what the body senses about its environment. Sensory integration is necessary for almost every activity that we perform because the combination of multiple sensory inputs is essential for us to comprehend our surroundings.

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==Overview==

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It has been believed for some time that inputs from different sensory organs are

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processed in different areas in the brain. Using functional neuroimaging, it can be seen

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that sensory-specific cortices are activated by different inputs. For example, regions in the occipital cortex are tied to vision and those on the superior temporal gyrus are recipients of auditory inputs. There are studies that show that there is new data that suggests that there are deeper multisensory convergences than those just at the sensory-specific cortices listed earlier. This convergence of multiple sensory modalities is known as sensory integration.

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'''Sensory integration''' deals with how the brain processes sensory input from multiple sensory modalities. These include the five classic senses of [[vision]] (sight), [[audition]] (hearing), tactile stimulation([[touch]]), [[olfaction]](smell), and [[gustation]](taste). There are other sensory modalities exist, for example the [[vestibular]] sense (balance and the sense of movement) and [[proprioception]] (the sense of knowing one's position in space). What is important is that the representations of these different sensory modalities have to coincide. The sensory inputs themselves are in different electrical signals, and in different contexts<ref>{{cite journal | author = Vanzetta I, Grinvald A. | title = Coupling between neuronal activity and microcirculation: implications for functional brain imaging | journal = Hfsp Journal | volume = 2 | pages = 79-98| year = 2008}}</ref>. Through sensory integration, the brain can relate all of these different sensory modality inputs into coherent outputs that better prepare us to fully comprehend our environment.

Sometimes there can be a problem with the encoding of the sensory information. This disorder is known as [[Sensory Integration Dysfunction]], or SID. This disorder can be further classified into three main types. Type 1 is when the patient exhibits a sensory modulation disorder, where he/she seek sensory stimulation due to an over or under response to sensory stimuli. Type 2 is when the patient exhibits a sensory based motor disorder. Patients who have this type of SID have incorrect processing of motor information that leads to poor motor skills. Type 3 sensory integration dysfunction occurs when the patient has a sensory discrimination disorder, which is characterized by postural control problems, lack of attentiveness, and disorganization. There are several therapies used to treat SID. Dr. A. [[Jean Ayres]] claimed that a child needs a healthy "sensory diet," which is all of the activities that a child performs that gives him/her the necessary sensory inputs that he/she needs to get the brain into better performing sensory integration.

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==History==

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[[Image:Sensory and motor homunculi.jpg|thumb|right|Models of sensory and motor homunculi at the [[Natural History Museum]] in London.]]

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In the 1930's, [[Dr. Wilder Penfield]] was conducting a very bizarre operation at the Montreal Neurological Institute<ref name="isbn978-1-4000-6469-4">{{cite book |author=Blakeslee, Sandra.; Blakeslee Matthew. |title=The Body has a Mind of its Own |publisher=Random House |year=2007 |pages=440 |isbn=978-1-4000-6469-4 |oclc= |doi= |accessdate=}}</ref>. Dr. Penfield "pioneered the incorporation of neurophysiological principles in the practice of [[neurosurgery]].<ref>{{cite journal | author = Todman D. | title = Wilder Penfield (1891-1976) | journal = Journal of Neurology | volume = 255 | pages = 1104-1105 | year = 2008}}</ref><ref>{{cite journal | author = Yang F, Kruggel F. | title = Automatic segmentation of human brain sulci | journal = Medical Image Analysis| volume = 12 | pages = 442-451| year = 2008}}</ref> Dr. Penfield was interested in determining a solution to solve the epileptic [[seizure]] problems that his patients were having. He used an electrode to stimulate different regions of the brain's cortex, and would ask his still conscious patient what he or she felt. This process led to the publication of his book, The Cerebral Cortex of Man, in <ref name="isbn978-1-4000-6469-4">{{cite book |author=Blakeslee, Sandra.; Blakeslee Matthew. |title=The Body has a Mind of its Own |publisher=Random House |year=2007 |pages=440 |isbn=978-1-4000-6469-4 |oclc= |doi= |accessdate=}}</ref>. The "mapping" of the sensations his patients felt led Dr. Penfield to chart out the sensations that were triggered by stimulating different cortical regions<ref>{{cite journal | author = Seth AK, Dienes Z, Cleeremans A, Overgaard M, Pessoa L. | title = Measuring consciousness: relating behavioural and neurophysiological approaches | journal = Trends in Cognitive Sciences | volume = 12 | pages = 314-321 | year = 2008}}</ref>. Mrs. H. P. Cantlie was the artist Dr. Penfield hired to illustrate his findings. The result was the conception of the first sensory [[Homunculus]]. [[Image:Homunculus.png|thumb|right|500x350px|Homunculus: Diagram showing position of regions of the human cortex corresponding to the respective afferent/efferent nerve region of the body. Blue: sensory cortex. Red: motor cortex.]]

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The [[Homonculus]] is a visual representation of the intensity of sensations derived from different parts of the body. [[Dr. Wilder Penfield]] and his colleague Herbert Jasper developed the technique of using an electrode to stimulate different parts of the brain to determine which parts were the cause of the epilepsy. This part could then be surgically removed or altered in order to regain optimal brain performance. While performing these tests, they discovered that the functional maps of the [[sensorimotor]] and motor cortices were similar in all patients. Because of their novelty at the time, these Homonculi were hailed as the "E=mc2 of Neuroscience"<ref name="isbn978-1-4000-6469-4">{{cite book |author=Blakeslee, Sandra.; Blakeslee Matthew. |title=The Body has a Mind of its Own |publisher=Random House |year=2007 |pages=440 |isbn=978-1-4000-6469-4 |oclc= |doi= |accessdate=}}</ref>.

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==Current Research==

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There are still no definitive answers to the questions regarding the relationship between functional and structural asymmetries in the [[brain]].<ref>{{cite journal | author = Lin SY, Burdine RD. | title = Brain asymmetry: Switching from left to right | journal = Current Biology | volume = 15 | issue = 9 | pages = R343-R345 | year = 2005}}</ref> There are a number of asymmetries in the human brain including how language is processed mainly in the left [[hemisphere of the brain]]. There have been some cases, however, in which individuals have comparable language skills to someone who uses his left hemisphere to process language, yet they mainly use their right or both hemispheres. These cases pose the possibility that function may not follow structure in some cognitive tasks.<ref>{{cite journal | author = Lin SY, Burdine RD. | title = Brain asymmetry: Switching from left to right | journal = Current Biology | volume = 15 | issue = 9 | pages = R343-R345 | year = 2005}}</ref> Current research in the fields of sensory integration and functional integration is aiming to hopefully unlock the mysteries behind the concept of [[brain lateralization]].

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Research on sensory integration has much to offer towards understanding the function of the brain as a whole. The primary task of sensory integration is to figure out and sort out the vast quantities of sensory information in the body through multiple sensory modalities. These modalities not only are not independent, but they are also quite complementary. Where one sensory modality may give information on one part of a situation, another modality can pick up other necessary information. Bringing this information together facilitates the better understanding of the physical world around us.

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Although it may seem redundant that we are being provided with multiple sensory inputs about the same object, but that is not necessarily the case. This so called "redundant" information is in fact verification that what we are experiencing is in fact happening. Perceptions of the world are based on models that we build of the world. Sensory information informs these models, but this information can also confuse the models. Sensory illusions occur when these models do not match up. For example, where our visual system may fool us in one case, our auditory system can bring us back to a ground reality. This prevents sensory misrepresentations, because through the combination of multiple sensory modalities, the model that we create is much more robust and gives a better assessment of the situation. Thinking about it logically, it is far easier to fool one sense than it is to simultaneously fool two or more senses.

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==Examples of Sensory Integration==

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One of the earliest sensations is the [[olfactory]] sensation. Evolutionary, [[gustation]] and[[olfaction]] developed together. This sensory integration was necessary for early humans in order to ensure that they were receiving proper nutrition from their food, and also to make sure that they were not consuming poisonous materials. There are several other sensory integrations that developed early on in the human evolutionary time line. The integration between vision and audition was necessary for spatial mapping. Integration between vision and tactile sensations developed along with our finer motor skills including better hand-eye coordination. While humans developed into [[bipedal]] organisms, balance became exponentially more essential to survival. The sensory integration between visual inputs, [[vestibular]] (balance) inputs, and [[proprioception]] inputs played an important role in our development into upright walkers.

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===Audiovisual System===

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Perhaps one of the most studied sensory integrations is the relationship between vision and audition<ref>{{cite journal | author = Witten IB, Knudsen EI. | title = Why Seeing Is Believing: Merging Auditory and Visual Worlds | journal = Neuron | volume = 48 | pages = 489-496| year = 2008}}</ref>. These two senses perceive the same objects in the world in different ways, and by combining the two, they help us understand this information better<ref>{{cite journal | author = Burr D, Alais D, S. Martinez-Conde| title = Chapter 14 Combining visual and auditory information | journal = In Progress in Brain Research | pages = 243-258 | year = 2006}}</ref>. Vision dominates our perception of the world around us. This is because visual spatial information is one of the most reliable sensory modalities. Visual stimuli are recorded directly onto the retina, and there are few, if any, external distortions that provide incorrect information to the brain about the true location of an object<ref>{{cite journal | author = Huddleston WE, Lewis JW, Phinney RE, DeYoe EA.| title = Mapping Auditory and visual attention-based apparent motion share functional parallels | journal = Perception & Psychophysics | volume = 70 | pages = 1207-1216 | year = 2008}}</ref>. Other spatial information is not as reliable as visual spatial information. For example, consider auditory spatial input. The location of an object can sometimes be determined solely on its sound, but the sensory input can easily be modified or altered, thus giving a less reliable spatial representation of the object<ref>{{cite journal | author = Jaekl PM | title = Auditory-visual temporal integration measured by shifts in perceived temporal location | journal = Neuroscience Letters | volume = 417 | pages = 219-224 | year = 2007}}</ref>. Auditory information therefore is not spatially represented unlike visual stimuli. But once one has the spatial mapping from the visual information, sensory integration helps bring the information from both the visual and auditory stimuli together to make a more robust mapping.

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There have been studies done that show that a dynamic neural mechanism exists for matching the auditory and visual inputs from an event that stimulates multiple senses<ref>{{cite journal | author = King, AJ| title = Multisensory Integration: Strategies for Synchronization | journal = Current Biology | volume = 15 | issue = 9 | pages = R339-R341 | year = 2005}}</ref>. One example of this that has been observed is how the brain compensates for target distance. When you are speaking with someone or watching something happen, auditory and visual signals are not being processed concurrently, but they are perceived as being simultaneous<ref>{{cite journal | author = Bulkin DA, Groh JM.| title = Seeing sounds: visual and auditory interactions in the brain | journal = Current Opinion in Neurobiology | volume = 16 | pages = 415-419 | year = 2006}}</ref>. This kind of integration can lead to slight misperceptions in the visual-auditory system in the form of the [[ventriloquist effect]]<ref>{{cite journal | author = Alais D, Burr D.| title = The [[ventriloquist effect]] results from near-optimal bimodal integration | journal = Current Biology | volume = 14 | pages = 257-262 | year = 2004}}</ref>. An example of the ventriloquism effect is when a person on the television appears to have his voice coming from his mouth, rather than the television's speakers. This occurs because of a pre-existing spatial representation within the brain which is programmed to think that voices come from another human's mouth. This then makes it so the visual response to the audio input is spatially misrepresented, and therefore misaligned.

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===Sensorimotor System===

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Hand eye coordination is one example of sensory integration. In this case, we require a tight integration of what we visually perceive about an object, and what we tactilely perceive about that same object. If these two senses were not combined within the brain, then one would have less ability to manipulate an object. Hand-eye coordination is the tactile sensation in the context of the visual system. The visual system is very static, in that it doesn't move around much, but the hands and other parts used in tactile sensory collection can freely move around. This movement of the hands must be included in the mapping of both the tactile and visual sensations, otherwise one would not be able to comprehend where they were moving their hands, and what they were touching and looking at. An example of this happening is looking at an infant. The infant picks up objects and puts them in his mouth, or touches them to his feet or face. All of these actions are culminating to the formation of spatial maps in the brain and the realization that "Hey, that thing that's moving this object is actually a part of me." Seeing the same thing that they are feeling is a major step in the mapping that is required for infants to begin to realize that they can move their arms and interact with an object. This is the earliest and most explicit way of experiencing sensory integration.

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==Further Research==

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In the future, research on sensory integration will be used to better understand how different sensory modalities are incorporated within the brain to help us perform even the simplest of tasks. For example, we do not currently have the understanding needed to comprehend how neural circuits transform sensory cues into changes in motor activities. More research done on the sensorimotor system can help understand how these movements are controlled<ref>{{cite journal | author = Samuel ADT, Sengupta P. | title = Sensorimotor integration: Locating locomotion in neural circuits | journal = Current Biology | volume = 15 | pages = R341-R353 | year = 2005}}</ref>. This understanding can potentially be used to learn more about how to make better [[prosthetics]], and eventually help patients who have lost the use of a limb. Also, by learning more about how different sensory inputs can combine can have profound effects on new engineering approaches using [[robotics]]. The robot's sensory devices may take in inputs of different modalities, but if we understand sensory integration better, we might be able to program these robots to convey these data into a useful output to better serve our purposes.

Sensory Integration is defined as the neurological process that organizes sensation from one’s own body and the environment, thus making it possible to use the body effectively within the environment. Specifically, it deals with how the brain processes multiple sensory modality inputs into usable functional outputs. It has been believed for some time that inputs from different sensory organs are processed in different areas in the brain. The communication within and among these specialized areas of the brain is known as functional integration[1][2][3]. Newer research has shown that these different regions of the brain may not be solely responsible for only one sensory modality, but could use multiple inputs to perceive what the body senses about its environment. Sensory integration is necessary for almost every activity that we perform because the combination of multiple sensory inputs is essential for us to comprehend our surroundings.

Contents

It has been believed for some time that inputs from different sensory organs are
processed in different areas in the brain. Using functional neuroimaging, it can be seen
that sensory-specific cortices are activated by different inputs. For example, regions in the occipital cortex are tied to vision and those on the superior temporal gyrus are recipients of auditory inputs. There are studies that show that there is new data that suggests that there are deeper multisensory convergences than those just at the sensory-specific cortices listed earlier. This convergence of multiple sensory modalities is known as sensory integration.

Sensory integration deals with how the brain processes sensory input from multiple sensory modalities. These include the five classic senses of vision (sight), audition (hearing), tactile stimulation(touch), olfaction(smell), and gustation(taste). There are other sensory modalities exist, for example the vestibular sense (balance and the sense of movement) and proprioception (the sense of knowing one's position in space). What is important is that the representations of these different sensory modalities have to coincide. The sensory inputs themselves are in different electrical signals, and in different contexts[4]. Through sensory integration, the brain can relate all of these different sensory modality inputs into coherent outputs that better prepare us to fully comprehend our environment.

The different senses were always thought to be controlled by separate lobes of the brain[5]. The lobes of the brain are the classifications that divide the brain both anatomically and functionally[6]. These lobes are the Frontal lobe, responsible for conscious thought, Parietal lobe, responsible for visuospatial processing, the Occipital lobe, responsible for the sense of sight, and the temporal lobe, responsible for the senses of smell and sound. From the earliest times of neurology, it has been thought that these lobes are solely responsible for their one sensory modality input[7]. However, newer research has shown that that may not entirely be the case.

Sometimes there can be a problem with the encoding of the sensory information. This disorder is known as Sensory Integration Dysfunction, or SID. This disorder can be further classified into three main types. Type 1 is when the patient exhibits a sensory modulation disorder, where he/she seek sensory stimulation due to an over or under response to sensory stimuli. Type 2 is when the patient exhibits a sensory based motor disorder. Patients who have this type of SID have incorrect processing of motor information that leads to poor motor skills. Type 3 sensory integration dysfunction occurs when the patient has a sensory discrimination disorder, which is characterized by postural control problems, lack of attentiveness, and disorganization. There are several therapies used to treat SID. Dr. A. Jean Ayres claimed that a child needs a healthy "sensory diet," which is all of the activities that a child performs that gives him/her the necessary sensory inputs that he/she needs to get the brain into better performing sensory integration.

In the 1930's, Dr. Wilder Penfield was conducting a very bizarre operation at the Montreal Neurological Institute[8]. Dr. Penfield "pioneered the incorporation of neurophysiological principles in the practice of neurosurgery.[9][10] Dr. Penfield was interested in determining a solution to solve the epileptic seizure problems that his patients were having. He used an electrode to stimulate different regions of the brain's cortex, and would ask his still conscious patient what he or she felt. This process led to the publication of his book, The Cerebral Cortex of Man, in [8]. The "mapping" of the sensations his patients felt led Dr. Penfield to chart out the sensations that were triggered by stimulating different cortical regions[11]. Mrs. H. P. Cantlie was the artist Dr. Penfield hired to illustrate his findings. The result was the conception of the first sensory Homunculus. File:Homunculus.png

The Homonculus is a visual representation of the intensity of sensations derived from different parts of the body. Dr. Wilder Penfield and his colleague Herbert Jasper developed the technique of using an electrode to stimulate different parts of the brain to determine which parts were the cause of the epilepsy. This part could then be surgically removed or altered in order to regain optimal brain performance. While performing these tests, they discovered that the functional maps of the sensorimotor and motor cortices were similar in all patients. Because of their novelty at the time, these Homonculi were hailed as the "E=mc2 of Neuroscience"[8].

There are still no definitive answers to the questions regarding the relationship between functional and structural asymmetries in the brain.[12] There are a number of asymmetries in the human brain including how language is processed mainly in the left hemisphere of the brain. There have been some cases, however, in which individuals have comparable language skills to someone who uses his left hemisphere to process language, yet they mainly use their right or both hemispheres. These cases pose the possibility that function may not follow structure in some cognitive tasks.[13] Current research in the fields of sensory integration and functional integration is aiming to hopefully unlock the mysteries behind the concept of brain lateralization.

Research on sensory integration has much to offer towards understanding the function of the brain as a whole. The primary task of sensory integration is to figure out and sort out the vast quantities of sensory information in the body through multiple sensory modalities. These modalities not only are not independent, but they are also quite complementary. Where one sensory modality may give information on one part of a situation, another modality can pick up other necessary information. Bringing this information together facilitates the better understanding of the physical world around us.

Although it may seem redundant that we are being provided with multiple sensory inputs about the same object, but that is not necessarily the case. This so called "redundant" information is in fact verification that what we are experiencing is in fact happening. Perceptions of the world are based on models that we build of the world. Sensory information informs these models, but this information can also confuse the models. Sensory illusions occur when these models do not match up. For example, where our visual system may fool us in one case, our auditory system can bring us back to a ground reality. This prevents sensory misrepresentations, because through the combination of multiple sensory modalities, the model that we create is much more robust and gives a better assessment of the situation. Thinking about it logically, it is far easier to fool one sense than it is to simultaneously fool two or more senses.

One of the earliest sensations is the olfactory sensation. Evolutionary, gustation andolfaction developed together. This sensory integration was necessary for early humans in order to ensure that they were receiving proper nutrition from their food, and also to make sure that they were not consuming poisonous materials. There are several other sensory integrations that developed early on in the human evolutionary time line. The integration between vision and audition was necessary for spatial mapping. Integration between vision and tactile sensations developed along with our finer motor skills including better hand-eye coordination. While humans developed into bipedal organisms, balance became exponentially more essential to survival. The sensory integration between visual inputs, vestibular (balance) inputs, and proprioception inputs played an important role in our development into upright walkers.

Perhaps one of the most studied sensory integrations is the relationship between vision and audition[14]. These two senses perceive the same objects in the world in different ways, and by combining the two, they help us understand this information better[15]. Vision dominates our perception of the world around us. This is because visual spatial information is one of the most reliable sensory modalities. Visual stimuli are recorded directly onto the retina, and there are few, if any, external distortions that provide incorrect information to the brain about the true location of an object[16]. Other spatial information is not as reliable as visual spatial information. For example, consider auditory spatial input. The location of an object can sometimes be determined solely on its sound, but the sensory input can easily be modified or altered, thus giving a less reliable spatial representation of the object[17]. Auditory information therefore is not spatially represented unlike visual stimuli. But once one has the spatial mapping from the visual information, sensory integration helps bring the information from both the visual and auditory stimuli together to make a more robust mapping.

There have been studies done that show that a dynamic neural mechanism exists for matching the auditory and visual inputs from an event that stimulates multiple senses[18]. One example of this that has been observed is how the brain compensates for target distance. When you are speaking with someone or watching something happen, auditory and visual signals are not being processed concurrently, but they are perceived as being simultaneous[19]. This kind of integration can lead to slight misperceptions in the visual-auditory system in the form of the ventriloquist effect[20]. An example of the ventriloquism effect is when a person on the television appears to have his voice coming from his mouth, rather than the television's speakers. This occurs because of a pre-existing spatial representation within the brain which is programmed to think that voices come from another human's mouth. This then makes it so the visual response to the audio input is spatially misrepresented, and therefore misaligned.

Hand eye coordination is one example of sensory integration. In this case, we require a tight integration of what we visually perceive about an object, and what we tactilely perceive about that same object. If these two senses were not combined within the brain, then one would have less ability to manipulate an object. Hand-eye coordination is the tactile sensation in the context of the visual system. The visual system is very static, in that it doesn't move around much, but the hands and other parts used in tactile sensory collection can freely move around. This movement of the hands must be included in the mapping of both the tactile and visual sensations, otherwise one would not be able to comprehend where they were moving their hands, and what they were touching and looking at. An example of this happening is looking at an infant. The infant picks up objects and puts them in his mouth, or touches them to his feet or face. All of these actions are culminating to the formation of spatial maps in the brain and the realization that "Hey, that thing that's moving this object is actually a part of me." Seeing the same thing that they are feeling is a major step in the mapping that is required for infants to begin to realize that they can move their arms and interact with an object. This is the earliest and most explicit way of experiencing sensory integration.

In the future, research on sensory integration will be used to better understand how different sensory modalities are incorporated within the brain to help us perform even the simplest of tasks. For example, we do not currently have the understanding needed to comprehend how neural circuits transform sensory cues into changes in motor activities. More research done on the sensorimotor system can help understand how these movements are controlled[21]. This understanding can potentially be used to learn more about how to make better prosthetics, and eventually help patients who have lost the use of a limb. Also, by learning more about how different sensory inputs can combine can have profound effects on new engineering approaches using robotics. The robot's sensory devices may take in inputs of different modalities, but if we understand sensory integration better, we might be able to program these robots to convey these data into a useful output to better serve our purposes.

↑Harrison BJ, Pujol J, Lopez-Sola M, Hernandez-Ribas R, Deus J, et al. (2008). Consistency and functional specialization in the default mode brain network. Proceedings of the National Academy of Sciences of the United States of America105: 9781-9786.